Psoriasis is a chronic autoimmune skin condition characterized by the rapid overproduction of skin cells, resulting in thickened, red, scaly patches. As a dermatologist, understanding the multifactorial nature of psoriasis is essential in effectively managing this complex disease. Genetic predisposition, immune dysregulation, environmental triggers, and lifestyle factors all contribute to its pathogenesis.

Diagnosing psoriasis involves a thorough clinical evaluation, including examination of characteristic lesions and consideration of associated symptoms such as itching, pain, or nail changes. While psoriasis most commonly affects the skin, it can also involve the joints (psoriatic arthritis) and have systemic implications, necessitating a holistic approach to patient care.

First and foremost, it is very important to know for certain that it is psoriasis.  A simple biopsy is performed to confirm this diagnosis so that the treatment and recommendations are accurate.  Many times, people are told they have psoriasis just by the look of the rash, but without the confirmation via biopsy it may not be accurate.

Treatment strategies for psoriasis aim to alleviate symptoms of the rash, reduce inflammation and the look of the rash, and improve quality of life. Topical therapies such as corticosteroids, vitamin D analogs medicines and calcineurin inhibitors are often utilized for mild to moderate disease, targeting localized symptoms and minimizing side effects.  There are now so many newer and safe biologic medications (both pill form and injectable) that target psoriasis from the inside out and they may be utilized to achieve disease control and prevent progression.  Your doctor will evaluate your psoriasis and together will recommend the treatment that works best for you.

Patient education is integral in psoriasis management, as it empowers individuals to actively participate in their care and adopt lifestyle modifications that can positively impact disease outcomes. Encouraging adherence to treatment regimens, stress management techniques, and exercise, dietary changes as well as limiting alcohol consumption are all important factors that will help to improve psoriasis.  By fostering a collaborative relationship with patients and addressing their unique needs and concerns, dermatologists play a pivotal role in enhancing the physical and emotional well-being of those living with psoriasis. Through ongoing monitoring, personalized treatment plans, and advocacy for advancements in psoriasis research and therapy, dermatologists strive to optimize outcomes and improve the overall quality of life for individuals affected by this challenging condition.

For additional information about Psoriasis:  The National Psoriasis Foundation

Nashville Dermatology Physicians


1001 Health Park Drive Suite 470,
Brentwood, TN 37027


7:00 am - 4:00 pm


7:00 am - 4:00 pm


7:00 am - 4:00 pm


11:00 am - 6:00 pm